SEA/RC62/12 - Governing bodies: key issues and challenges arising out of the sixty-second World Health Assembly and the 124th and 125th sessions of the WHO executive board
AbstractThe attached working paper highlights the most significant and relevant decisions and resolutions emanating from the Sixty-second World Health Assembly (held from 16-20 May 2009) as well as the 124th and 125th Sessions of the Executive Board (held from 19-27 January 2009 and on 23 May 2009 respectively). These decisions and resolutions are particularly relevant to the Member States of the WHO South-East Asia (SEA) Region, have obvious and immediate implications for them, and would merit follow-up action by both Member States as well as WHO at the Regional Office and country office levels. The background of the selected decisions/resolutions, highlights from the main operative paragraphs of these selected decisions/resolutions, as well as the regional implications of each decision and/or resolution, as applicable, and actions proposed for Member States and WHO have been presented. The working paper was submitted for consideration by the High-Level Preparatory (HLP) Meeting for the Regional Committee, with particular reference to the regional implications and actions proposed to be taken towards implementation of the recommendations contained in the selected decisions/ resolutions. The HLP meeting was requested to consider the decisions/resolutions as relevant (details of these decisions/resolutions are provided in the Annex to this paper). The HLP meeting made the following recommendations on the following selected resolutions: Prevention of avoidable blindness and visual impairment (WHA62.1) Action by Member States • Member States should review and adjust their national plans for the prevention of blindness, keeping in view the draft action plan for the prevention of blindness and visual impairment (which is annexed to the report), updated situation analysis conducted by WHO/SEARO and the specific situation of each country. Member States can also include those activities that are relevant to the epidemiological status of the country in the WHO country workplan 2010-2011. Action by WHO/SEARO • Organize if required, a separate regional meeting to systematically assess implementation of global action plan. Primary health care, including health system strengthening (WHA62.12) Action by Member States (1) Review and endorse health policies that will strengthen the health system using the primary health care (PHC) approach; (2) identify opportunities for concrete actions that will empower the community and promote health; (3) work with other sectors and partners to give the necessary support at policy and technical levels. Action by WHO/SEARO (1) To support the development of Member States’ capacity for strengthening equitable health systems; (2) to support country capacity to formulate healthy public policies to revitalize PHC; (3) to develop monitoring tools and guidelines to facilitate monitoring and evaluation of revitalization of PHC action at country level; (4) to provide guidelines on the use of a socio-cultural approach in supporting the change from service delivery to a development approach. Traditional medicine (WHA62.13) Action by Member States • Encourage more institutions to contribute to Herbalnet and utilize Herbalnet. Reducing health inequities through action on social determinants of health (WHA62.14) Action by Member States (1) Build political commitment to reduce health inequity by addressing social determinants of health; (2) mainstream health equity in all policies to achieve community empowerment and efficient resource allocation; (3) establish indicators and monitoring systems for health equity across sectors. Action by WHO/SEARO (1) Strengthen the capacity of Member States and the WHO Secretariat to address social determinants of health; (2) Support Member States to establish routine monitoring systems for social determinants of health and use the evidence in making policies and programme decisions; (3) advocate at national, regional and global forums for the placement of social determinants on the development agenda. Prevention and control of multidrug-resistant and extensively drug resistant tuberculosis (WHA62.15) Action by Member States (1) Assess the situation and integrate into national TB plans specific actions to effectively address M/XDR-TB while ensuring sustained delivery of high-quality DOTS services; (2) build national capacity for effectively scaling up of the diagnosis and treatment of M/XDR-TB cases; (3) mobilize the necessary additional funding and secure concessionally priced qualityassured diagnostics and anti-TB drugs through international initiatives and other bilateral mechanisms, while also facilitating additional national manufacturers to meet international/WHO pre-qualification standards. Action by WHO/SEARO (1) Support the development of strategic actions to address M/XDR-TB and their integration into national plans; (2) provide technical guidelines for management of M/XDR-TB; (3) intensify technical assistance to enhance capacity of national programmes and laboratory networks for diagnosis and management of M/XDR-TB, as well as for drug-resistance surveillance; (4) assist in mobilizing the necessary resources and securing competitively priced quality-assured diagnostics and anti-TB drugs through greater coordination and collaboration with all technical and development partners. The paper is now submitted to the Sixty-second Session of the Regional Committee for its consideration.
World Health Organization, Regional Office for South-East Asia. (2009). SEA/RC62/12 - Governing bodies: key issues and challenges arising out of the sixty-second World Health Assembly and the 124th and 125th sessions of the WHO executive board. WHO Regional Office for South-East Asia. http://www.who.int/iris/handle/10665/128442